TWI736173B - Mycelium of liquid culture of antrodia camphorata extract, compounds of mycelium of liquid culture of antrodia camphorata extract, and use thereof for treating ischemic stroke - Google Patents

Mycelium of liquid culture of antrodia camphorata extract, compounds of mycelium of liquid culture of antrodia camphorata extract, and use thereof for treating ischemic stroke Download PDF

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TWI736173B
TWI736173B TW109108059A TW109108059A TWI736173B TW I736173 B TWI736173 B TW I736173B TW 109108059 A TW109108059 A TW 109108059A TW 109108059 A TW109108059 A TW 109108059A TW I736173 B TWI736173 B TW I736173B
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stroke
group
extract
ischemic stroke
treatment
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TW202133866A (en
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郭悅雄
沈郁強
王雅惠
劉國同
陳昌明
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中國醫藥大學
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Abstract

The present disclosure provides a mycelium of liquid culture of Antrodia camphorata extract, compounds of the mycelium of liquid culture of Antrodia camphorata extract, and a use thereof for treating ischemic stroke.

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牛樟芝菌絲體的液態培養萃取物、牛樟芝菌絲體的液態培養萃取物的化合物及其用於治療缺血性腦中風的用途 Liquid culture extract of Antrodia cinnamomea mycelium, compound of liquid culture extract of Antrodia cinnamomea mycelium and its use for treating ischemic stroke

本發明是有關於一種牛樟芝萃取物、牛樟芝萃取物的化合物及其用於治療缺血性腦中風的用途。 The present invention relates to an Antrodia cinnamomea extract, an Antrodia cinnamomea extract compound and its use for treating ischemic stroke.

中風為台灣十大死因中排名第三位,WHO列中風為「全球第二大死因」,全球2005年有五百八十萬人因為中風死亡,2015年預計會有六百五十萬因中風死亡。台灣已漸漸步入老化的社會結構,而老化卻是引起中風疾病的重要危險因子,根據本土中風中心的健康醫療資料,大於80歲的老人,中風風險是30歲以下年輕人的384倍。 Stroke ranks third among the top ten causes of death in Taiwan, and WHO lists stroke as the "second leading cause of death in the world." In 2005, 5.8 million people died of stroke worldwide, and 6.5 million are expected to be caused by stroke in 2015. die. Taiwan has gradually entered an aging social structure, and aging is an important risk factor for stroke disease. According to the health and medical data of local stroke centers, the risk of stroke for people over 80 is 384 times that of young people under 30.

缺血性中風為腦部血液供應異常所導致的腦部功能快速發展喪失。醫學上又稱為腦血管意外(cerebrovascular accident,CVA),起因於腦部的血液供應受到破壞,使得腦局部細胞無法獲得足夠的養分和氧氣,造成神經的機能受損。中風可分為出血性中風(hemorrhage stroke)及缺血性中風(ischemia stroke)。一般而言,缺血性中風約佔80%,而出血性中風約佔20%,且兩者起因相當不同。出血性中風則為腦血管破裂所導致之腦出血,通常死亡率較高。而缺血性中風為腦部血液流通不良或阻塞造成的腦局部缺血,死亡率通常較低,但容易導致神經行為能力方面的損害。 Ischemic stroke is the rapid development and loss of brain function caused by abnormal blood supply to the brain. In medicine, it is also called a cerebrovascular accident (CVA). It is caused by the destruction of the blood supply to the brain, which makes the cells in the brain unable to obtain sufficient nutrients and oxygen, resulting in damage to the function of the nerves. Stroke can be divided into hemorrhage stroke and ischemia stroke. Generally speaking, ischemic stroke accounts for about 80%, and hemorrhagic stroke accounts for about 20%, and the causes of the two are quite different. Hemorrhagic stroke is cerebral hemorrhage caused by the rupture of a cerebral blood vessel, and the death rate is usually higher. On the other hand, ischemic stroke is cerebral ischemia caused by poor blood circulation or obstruction of the brain. The mortality rate is usually low, but it is easy to cause damage to neurobehavior.

在美國FDA於1996年核准靜脈血栓溶解劑(rt-PA)治療中風後,rt-PA是目前臨床上治療缺血性中風的唯一藥物,rt-PA的作用機制是將栓塞的組 織血塊溶解以達到血液恢復通暢,其會令使用rt-PA的患者腦出血的機率增加10倍。此外,缺血性中風患者身體所造成的傷殘傷害,衍生的問題便是造成家庭的人力照護與經濟負擔,也造成國家的醫療經濟負擔。因此,為了解決上述問題,本領域的技術人員亟需研發出具有治療中風功效之新穎醫藥品以造福有此需求的廣大族群,期可減少缺血性中風所導致之神經細胞損害,進而提升缺血性中風之治療效果。 After the U.S. FDA approved venous thrombolytic agent (rt-PA) for the treatment of stroke in 1996, rt-PA is currently the only clinical treatment of ischemic stroke. The mechanism of action of rt-PA is to embolize the group. The blood clot is dissolved to achieve blood recovery, which will increase the probability of cerebral hemorrhage in patients using rt-PA by 10 times. In addition, the disability and injury caused by the body of ischemic stroke patients will cause the family's human care and economic burden, as well as the country's medical and economic burden. Therefore, in order to solve the above-mentioned problems, those skilled in the art urgently need to develop novel medicines with the efficacy of treating stroke to benefit the majority of the people in need, in order to reduce the damage of nerve cells caused by ischemic stroke, thereby increasing the deficiency. The therapeutic effect of bloody stroke.

有鑑於此,本發明之目的為提供一種牛樟芝(Antrodia camphorata)萃取物,包含麥角抑菌素-7,9(11),22-三烯-3β-醇(ergosta-7,9(11),22-trien-3β-ol,EK100),其中該牛樟芝萃取物是以一萃取溶劑對一牛樟芝的菌絲體進行萃取而製得,該萃取溶劑是用甲醇或乙醇、其萃取物用乙酸乙酯(或正己烷)與水做分配萃取,取乙酸乙酯可溶層(或正己烷可溶層)。 In view of this, the purpose of the present invention is to provide an Antrodia camphorata extract, which contains ergosta-7,9(11),22-triene-3β-ol (ergosta-7,9(11) , 22-trien-3β-ol, EK100), wherein the Antrodia cinnamomea extract is prepared by extracting the mycelium of an Antrodia cinnamomea with an extraction solvent, the extraction solvent is methanol or ethanol, and the extract is ethyl acetate The ester (or n-hexane) is partitioned and extracted with water, and the ethyl acetate soluble layer (or n-hexane soluble layer) is taken.

本發明之另一目的為提供一種牛樟芝(Antrodia camphorata)萃取物用於製備一治療中風的醫藥品之用途,其中該牛樟芝萃取物包含麥角抑菌素-7,9(11),22-三烯-3β-醇(ergosta-7,9(11),22-trien-3β-ol,EK100),該牛樟芝萃取物是以一萃取溶劑對一牛樟芝的菌絲體進行萃取而製得,該萃取溶劑是甲醇或乙醇、其萃取物後用乙酸乙酯(或正己烷)與水做分離,取乙酸乙酯可溶層(或正己烷可溶層)或其組合。 Another object of the present invention is to provide an antrodia camphorata (Antrodia camphorata) extract for the preparation of a medicine for the treatment of stroke, wherein the Antrodia camphorata extract contains ergostatin-7,9(11),22-tri Ene-3β-ol (ergosta-7,9(11),22-trien-3β-ol, EK100), the Antrodia cinnamomea extract is prepared by extracting an Antrodia cinnamomea mycelium with an extraction solvent. The extraction The solvent is methanol or ethanol, and the extract is separated with ethyl acetate (or n-hexane) and water, and the ethyl acetate soluble layer (or n-hexane soluble layer) or a combination thereof is taken.

本發明之另一目的為提供一種化合物用於製備一治療中風的醫藥品之用途,其中該化合物為麥角抑菌素-7,9(11),22-三烯-3β-醇(ergosta-7,9(11),22-trien-3β-ol,EK100)。 Another object of the present invention is to provide a compound for the preparation of a drug for the treatment of stroke, wherein the compound is ergostatin-7,9(11),22-triene-3β-ol (ergosta- 7,9(11), 22-trien-3β-ol, EK100).

在本發明的一實施例中,該治療中風是治療腦中風。 In an embodiment of the present invention, the treatment of stroke is treatment of cerebral apoplexy.

在本發明的一實施例中,該治療腦中風是治療腦缺血性中風損傷。 In an embodiment of the present invention, the treatment of cerebral apoplexy is treatment of cerebral ischemic stroke injury.

在本發明的一實施例中,該治療腦缺血性中風損傷包含透過抑制神經細胞發炎和凋亡來減緩急性缺血性中風後腦梗死及血腦障壁(blood brain barrier,BBB)損傷。 In an embodiment of the present invention, the treatment of cerebral ischemic stroke injury includes alleviating cerebral infarction and blood brain barrier (BBB) damage after acute ischemic stroke by inhibiting the inflammation and apoptosis of nerve cells.

在本發明的一實施例中,該治療腦缺血性中風損傷包含透過抑制GSK-3及藉由活化PI3K/Akt信號傳遞活化β-鏈蛋白(β-catenin)以促進內生性神經再生。 In an embodiment of the present invention, the treatment of cerebral ischemic stroke injury includes the activation of β-catenin by inhibiting GSK-3 and activating PI3K/Akt signaling to promote endogenous nerve regeneration.

在本發明的一實施例中,該牛樟芝液態發酵菌絲體萃取物的有效濃度為至少0.3g/kg。 In an embodiment of the present invention, the effective concentration of the Antrodia camphorata liquid fermentation mycelium extract is at least 0.3 g/kg.

在本發明的一實施例中,該麥角抑菌素-7,9(11),22-三烯-3β-醇(EK100)是純化自一牛樟芝萃取物,該牛樟芝萃取物是以一萃取溶劑對一牛樟芝的菌絲體進行萃取而製得,該萃取溶劑是甲醇或乙醇、乙酸乙酯、正己烷或其組合。 In an embodiment of the present invention, the ergostatin-7,9(11),22-triene-3β-ol (EK100) is purified from an Antrodia camphorata extract, and the Antrodia camphorata extract is an extract The solvent is prepared by extracting the mycelium of Antrodia cinnamomea. The extraction solvent is methanol or ethanol, ethyl acetate, n-hexane or a combination thereof.

本發明之另一目的為提供一種化合物用於製備一增強治療中風藥物的效用之促效劑的用途,其中該化合物為麥角抑菌素-7,9(11),22-三烯-3β-醇(EK100)。 Another object of the present invention is to provide a compound for the preparation of an agonist that enhances the efficacy of the treatment of stroke, wherein the compound is ergostatin-7,9(11),22-triene-3β -Alcohol (EK100).

在本發明的一實施例中,該治療中風藥物是取甲醇或乙醇,其乙酸乙酯可溶部(或正己烷可溶部)及其主成分麥角抑菌素-7,9(11),22-三烯-3β-醇(ergosta-7,9(11),22-trien-3β-ol,EK100)單獨或組合而合成組織血纖維蛋白溶酶原活化劑(recombinant tissue plasminogen activator,rt-PA)。 In an embodiment of the present invention, the drug for treating stroke is methanol or ethanol, its ethyl acetate soluble part (or n-hexane soluble part) and its main component ergostatin-7,9(11) , 22-trien-3β-ol (ergosta-7, 9(11), 22-trien-3β-ol, EK100) alone or in combination to synthesize tissue plasminogen activator (recombinant tissue plasminogen activator, rt -PA).

在本發明的一實施例中,該麥角抑菌素-7,9(11),22-三烯-3β-醇(EK100)的有效濃度為至少60mg/kg。 In an embodiment of the present invention, the effective concentration of the ergostatin-7,9(11),22-triene-3β-ol (EK100) is at least 60 mg/kg.

綜上所述,本發明牛樟芝萃取物及其化合物之功效在於可透過抑制神經細胞發炎和凋亡減緩急性缺血性中風後腦梗死和血腦障壁損傷、透過抑制GSK-3及藉由活化PI3K/Akt信號傳遞活化β-鏈蛋白(β-catenin)來促進內生性神經再生、及保護神經元,達到治療中風(特別是腦缺血性中風損傷)及增強治療中風藥物的效用之功效。 In summary, the effect of the Antrodia camphorata extract and its compounds of the present invention is that it can slow down cerebral infarction and blood-brain barrier damage after acute ischemic stroke by inhibiting nerve cell inflammation and apoptosis, by inhibiting GSK-3 and by activating PI3K/ Akt signaling activates β-catenin (β-catenin) to promote endogenous nerve regeneration and protect neurons, so as to treat stroke (especially cerebral ischemic stroke injury) and enhance the efficacy of drugs for treatment of stroke.

以下將進一步說明本發明的實施方式,下述所列舉的實施例係用以闡明本發明,並非用以限定本發明之範圍,任何熟習此技藝者,在不脫離本發明之精神和範圍內,當可做些許更動與潤飾,因此本發明之保護範圍當視後附之申請專利範圍所界定者為準。 The following will further explain the implementation of the present invention. The following examples are used to illustrate the present invention and are not intended to limit the scope of the present invention. Anyone familiar with the art will not depart from the spirit and scope of the present invention. Some changes and modifications can be made. Therefore, the scope of protection of the present invention shall be subject to the scope of the attached patent application.

圖1是本發明的實驗方案流程圖,其中MCAO表示右大腦中動脈閉塞。 Figure 1 is a flow chart of the experimental protocol of the present invention, where MCAO represents right middle cerebral artery occlusion.

圖2是本發明牛樟芝萃取物與其化合物在減緩小鼠急性缺血性中風後腦梗死上的效用之示意圖,其中S表示假手術組;Veh表示媒液組;Et(0.3)表示乙酸乙酯層萃取物組1,即投藥0.3g/kg乙酸乙酯層萃取物;Et(0.6)表示乙酸乙酯層萃取物組2,即投藥0.6g/kg乙酸乙酯層萃取物;EK60表示EK100組1,即投藥60mg/kg EK100;EK120表示EK100組2,即投藥120mg/kg EK100;TPA表示TPA組(rt-PA);TPA/EK60表示組合組;*表示p<0.05。 Figure 2 is a schematic diagram of the effect of the Antrodia camphorata extract and its compounds of the present invention in reducing cerebral infarction after acute ischemic stroke in mice, where S represents the sham operation group; Veh represents the vehicle group; Et(0.3) represents the ethyl acetate layer extraction Substance group 1, namely administration of 0.3g/kg ethyl acetate layer extract; Et(0.6) represents ethyl acetate layer extract group 2, namely administration of 0.6g/kg ethyl acetate layer extract; EK60 represents EK100 group 1, That is, 60mg/kg EK100 is administered; EK120 indicates EK100 group 2, that is, 120mg/kg EK100 is administered; TPA indicates TPA group (rt-PA); TPA/EK60 indicates combination group; * indicates p <0.05.

圖3A及圖3B是本發明牛樟芝萃取物與其化合物在透過抑制發炎細胞閉合蛋白減緩小鼠缺血性中風損傷和血腦障壁(blood brain barrier,BBB)損傷上的效用之示意圖,其中S或Sham表示假手術組;Veh表示媒液組;Et(0.3)或EtOAc-AC(0.3)表示乙酸乙酯層萃取物組1;Et(0.6)或EtOAc-AC(0.6)表示乙酸乙酯層萃取物組2;EK60表示EK100組1;EK120表示EK100組2;TPA表示TPA組(rt-PA);TPA/EK60表示組合組;†表示與假手術組相比,p<0.05;*表示與媒液組相比,p<0.05。 3A and 3B are schematic diagrams of the effects of the Antrodia camphorata extract and its compounds of the present invention in reducing ischemic stroke injury and blood brain barrier (BBB) damage in mice by inhibiting inflammatory cell occludin, wherein S or Sham Represents the sham operation group; Veh represents the vehicle group; Et (0.3) or EtOAc-AC (0.3) represents the ethyl acetate layer extract group 1; Et (0.6) or EtOAc-AC (0.6) represents the ethyl acetate layer extract Group 2; EK60 means EK100 group 1; EK120 means EK100 group 2; TPA means TPA group (rt-PA); TPA/EK60 means combination group; † means compared with sham operation group, p <0.05; * means with vehicle Compared with the group, p <0.05.

圖4A及圖4B是本發明牛樟芝萃取物與其化合物在透過抑制發炎細胞p65 NF-κB減緩小鼠缺血性中風損傷上的效用之示意圖,其中S或Sham表示假手術組;Veh表示媒液組;Et(0.3)或EtOAc-AC(0.3)表示乙酸乙酯層萃取物組1;Et(0.6)或EtOAc-AC(0.6)表示乙酸乙酯層萃取物組2;EK60表示EK100組1;EK120表示EK100組2;TPA表示TPA組(rt-PA);TPA/EK60表示組合組;†表示與假手術組相比,p<0.05;*表示與媒液組相比,p<0.05;#表示與TPA組(rt-PA)相比,p<0.05。 Figures 4A and 4B are schematic diagrams of the effects of the Antrodia camphorata extract and its compounds of the present invention in reducing ischemic stroke injury in mice by inhibiting inflammatory cells p65 NF-κB, where S or Sham represents the sham operation group; Veh represents the vehicle group ; Et(0.3) or EtOAc-AC(0.3) represents ethyl acetate layer extract group 1; Et(0.6) or EtOAc-AC(0.6) represents ethyl acetate layer extract group 2; EK60 represents EK100 group 1; EK120 group 2 represents EK100; TPA TPA represents group (rt-PA); TPA / EK60 represent combinations; † indicates compared with sham group, p <0.05; * represents the group was compared to vehicle, p <0.05;# represents Compared with the TPA group (rt-PA), p <0.05.

圖5A及圖5B是本發明牛樟芝萃取物與其化合物在透過抑制發炎及細胞凋亡標記減緩小鼠缺血性中風損傷上的效用之示意圖,其中S或Sham表示假手術組;Veh表示媒液組;Et(0.3)或EtOAc-AC(0.3)表示乙酸乙酯層萃取物組1;Et(0.6)或EtOAc-AC(0.6)表示乙酸乙酯層萃取物組2;EK60表示EK100組1;EK120表示EK100組2;TPA表示TPA組(rt-PA);TPA/EK60表示組合組;†表示與假手術組相比,p<0.05;*表示與媒液組相比,p<0.05;#表示與TPA組(rt-PA)相比,p<0.05。 Figures 5A and 5B are schematic diagrams of the effects of the Antrodia camphorata extract and its compounds of the present invention in reducing ischemic stroke injury in mice by inhibiting inflammation and apoptosis markers, where S or Sham represents the sham operation group; Veh represents the vehicle group ; Et(0.3) or EtOAc-AC(0.3) represents ethyl acetate layer extract group 1; Et(0.6) or EtOAc-AC(0.6) represents ethyl acetate layer extract group 2; EK60 represents EK100 group 1; EK120 group 2 represents EK100; TPA TPA represents group (rt-PA); TPA / EK60 represent combinations; † indicates compared with sham group, p <0.05; * represents the group was compared to vehicle, p <0.05;# represents Compared with the TPA group (rt-PA), p <0.05.

圖6A及圖6B顯示牛樟芝萃取物與其化合物在小鼠急性缺血性中風後促進內生性神經再生上的效用,其中S或Sham表示假手術組;Veh表示媒液組;Et(0.3)或EtOAc-AC(0.3)表示乙酸乙酯層萃取物組1;Et(0.6)或EtOAc-AC(0.6)表示乙酸乙酯層萃取物組2;EK60表示EK100組1;EK120表示EK100組2;TPA表示TPA組(rt-PA);TPA/EK60表示組合組;†表示與假手術組相比,p<0.05;*表示與媒液組相比,p<0.05;#表示與TPA組(rt-PA)相比,p<0.05。 Figure 6A and Figure 6B show the effect of Antrodia camphorata extract and its compounds in promoting endogenous nerve regeneration after acute ischemic stroke in mice, where S or Sham represents the sham operation group; Veh represents the vehicle group; Et(0.3) or EtOAc -AC(0.3) represents ethyl acetate layer extract group 1; Et(0.6) or EtOAc-AC(0.6) represents ethyl acetate layer extract group 2; EK60 represents EK100 group 1; EK120 represents EK100 group 2; TPA represents TPA group (rt-PA); TPA/EK60 means combination group; † means compared with sham operation group, p <0.05; * means compared with vehicle group, p <0.05;# means compared with TPA group (rt-PA ) Compared with p <0.05.

圖7A及圖7B顯示牛樟芝萃取物與其化合物在小鼠急性缺血性中風後(於第24小時)促進神經再生相關蛋白質水準上的效用,其中S或Sham表示假手術組;Veh表示媒液組;Et(0.3)或EtOAc-AC(0.3)表示乙酸乙酯層萃取物組1;Et(0.6)或EtOAc-AC(0.6)表示乙酸乙酯層萃取物組2;EK60表示EK100組1;EK120表示EK100組2;TPA表示TPA組(rt-PA);TPA/EK60表示組合組;†表示與假手術組相比,p<0.05;*表示與媒液組相比,p<0.05。 Figures 7A and 7B show the effect of Antrodia cinnamomea extract and its compounds in promoting nerve regeneration-related protein levels after acute ischemic stroke in mice (at the 24th hour), where S or Sham represents the sham operation group; Veh represents the vehicle group ; Et(0.3) or EtOAc-AC(0.3) represents ethyl acetate layer extract group 1; Et(0.6) or EtOAc-AC(0.6) represents ethyl acetate layer extract group 2; EK60 represents EK100 group 1; EK120 group 2 represents EK100; TPA TPA represents group (rt-PA); TPA / EK60 represent combinations; † indicates compared with sham group, p <0.05; * represents the group was compared to vehicle, p <0.05.

定義definition

本文中所使用數值為近似值,所有實驗數據皆表示在20%的範圍內,較佳為在10%的範圍內,最佳為在5%的範圍內。 The numerical values used herein are approximate values, and all experimental data are expressed in the range of 20%, preferably in the range of 10%, and most preferably in the range of 5%.

依據本發明,所有實驗數據均以平均值±S.E.M.(平均值的標準誤)。使用單因子變異數分析(ANOVA),然後採用事後Student-Newman-Keuls(S-N-K)t檢定對數據進行分析,以進行多個比較。對於所有成對的多重比較,使用對數排序法(Log-Rank)檢驗,然後採用Holm-Sidak方法評估存活率。p<0.05的值被認為具有統計上顯著性。 According to the present invention, all experimental data are based on the mean ± SEM (standard error of the mean). One-way analysis of variance (ANOVA) was used, followed by a post-hoc Student-Newman-Keuls (SNK) t test to analyze the data for multiple comparisons. For all pairs of multiple comparisons, the Log-Rank test was used, and then the Holm-Sidak method was used to evaluate the survival rate. A value of p <0.05 is considered to be statistically significant.

依據本發明,牛樟芝(Antrodia camphorata)又名牛樟菇、樟菇、窟內菰、及神明菇,是一種藥用真菌,為擬層孔菌科(Fomitopsidaceae)薄孔菌屬(Antrodia)的一種真菌,僅原生於台灣。 According to the present invention, Antrodia camphorata (Antrodia camphorata), also known as Antrodia camphorata, Antrodia camphorata, Wild rice, and Shenming mushroom, is a medicinal fungus, belonging to the genus Fomitopsidaceae ( Antrodia ). Fungus, only native to Taiwan.

本文所述之「有效濃度」係表示能直接治療患有中風之個體所需醫藥品的數量。有效濃度依所治療的生物種類或個體差異而可能不同,但可藉由例如濃度遞增試驗(concentration escalation)以實驗決定其有效濃度。 The "effective concentration" mentioned herein refers to the amount of medicine needed to directly treat individuals suffering from stroke. The effective concentration may be different depending on the biological species or individual differences to be treated, but the effective concentration can be determined experimentally by, for example, a concentration escalation test.

如本文中所使用的,“治療(treating)”或“治療(treatment)”意指緩解(alleviating)、減少(reducing)、改善(ameliorating)、減輕(relieving)或控制(controlling)一疾病(disease)或障礙(disorder)的一或多個臨床徵兆(clinical sign),以及降低(lowering)、停止(stopping)或逆轉(reversing)一正在被治療中的病況(condition)或症狀(symptom)之嚴重性(severity)的進展(progression)。 As used herein, "treating" or "treatment" means alleviating, reducing, ameliorating, relieving or controlling a disease ) Or one or more clinical signs of disorder, as well as the severity of lowering, stopping or reversing a condition or symptom being treated The progression of severity.

依據本發明,醫藥品可利用熟習此技藝者所詳知的技術而被製造成一適合於非經腸道地(parenterally)或口服地(orally)投藥的劑型(dosage form),這包括,但不限於:注射品(injection)[例如,無菌的水性溶液(sterile aqueous solution)或分散液(dispersion)]、無菌的粉末(sterile powder)、錠劑(tablet)、片劑(troche)、口含錠(lozenge)、丸劑(pill)、膠囊(capsule)、分散性粉末(dispersible powder)或細顆粒(granule)、溶液、懸浮液(suspension)、乳劑(emulsion)、糖漿(syrup)、酏劑(elixir)、濃漿(slurry)以及類似之物。 According to the present invention, the medicine can be manufactured into a dosage form suitable for parenterally or orally administration by using techniques well known to those skilled in the art. This includes, but not Limited to: injection (for example, sterile aqueous solution or dispersion), sterile powder, tablet, troche, lozenge Lozenge, pill, capsule, dispersible powder or granule, solution, suspension, emulsion, syrup, elixir ), slurry and the like.

依據本發明的醫藥品可以一選自於由下列所構成的群組中的非經腸道途徑(parenteral routes)來投藥:腹膜內注射(intraperitoneal injection)、皮下注射(subcutaneous injection)、肌肉內注射(intramuscular injection)以及靜脈內注射(intravenous injection)。 The medicine according to the present invention can be administered by a parenteral route selected from the group consisting of: intraperitoneal injection, subcutaneous injection, intramuscular injection (intramuscular injection) and intravenous injection.

依據本發明的醫藥品可包含有一被廣泛地使用於藥物製造技術之醫藥學上可接受的載劑。例如,該醫藥學上可接受的載劑可包含一或多種選自於由下列所構成之群組中的試劑:溶劑(solvent)、乳化劑(emulsifier)、懸浮劑(suspending agent)、分解劑(decomposer)、黏結劑(binding agent)、賦形劑(excipient)、安定劑(stabilizing agent)、螯合劑(chelating agent)、稀釋劑(diluent)、膠凝劑(gelling agent)、防腐劑(preservative)、潤滑劑(lubricant)、吸收延遲劑(absorption delaying agent)、脂質體(liposome)以及類似之物。有關這些試劑的選用與數量是落在熟習此項技術之人士的專業素養與例行技術範疇內。 The pharmaceutical product according to the present invention may contain a pharmaceutically acceptable carrier widely used in pharmaceutical manufacturing technology. For example, the pharmaceutically acceptable carrier may include one or more agents selected from the group consisting of solvents, emulsifiers, suspending agents, decomposing agents (decomposer), binding agent, excipient, stabilizing agent, chelating agent, diluent, gelling agent, preservative ), lubricant (lubricant), absorption delaying agent (absorption delaying agent), liposome (liposome) and the like. The selection and quantity of these reagents fall within the scope of professionalism and routine techniques of those who are familiar with this technique.

依據本發明,該醫藥學上可接受的載劑包含有一選自於由下列所構成之群組中的溶劑:水、生理鹽水(normal saline)、磷酸鹽緩衝生理鹽水(phosphate buffered saline,PBS)、含糖溶液、含有醇的水性溶液(aqueous solution containing alcohol),以及它們的組合。 According to the present invention, the pharmaceutically acceptable carrier contains a solvent selected from the group consisting of water, normal saline, and phosphate buffered saline (PBS) , Sugar-containing solutions, aqueous solutions containing alcohol (aqueous solution containing alcohol), and combinations thereof.

依據本發明,醫藥品可被當作食品添加物(food additive),藉由習知方法於原料製備時添加,或是於食品的製作過程中添加,而與任一種可食性材料配製成供人類與非人類動物攝食的食品產品。 According to the present invention, medicines can be used as food additives, which are added during the preparation of raw materials by conventional methods, or added during the production of food, and are formulated with any edible material for supply. Food products consumed by humans and non-human animals.

依據本發明,食品產品的種類包括但不限於:飲料(beverages)、發酵食品(fermented foods)、烘培產品(bakery products)、健康食品(health foods)以及膳食補充品(dietary supplements)。 According to the present invention, the types of food products include, but are not limited to: beverages, fermented foods, bakery products, health foods, and dietary supplements.

實施例1. 牛樟芝(Antrodia camphorata)萃取物與其化合物的製備及其在治療腦中風(brain infarction)上的效用評估Example 1. Preparation of Antrodia camphorata (Antrodia camphorata) extract and its compound and evaluation of its effectiveness in the treatment of brain infarction

首先,本發明牛樟芝萃取物及其化合物的製備流程如下:參考Y.Y.Shao,C.C.Chen,H.Y.Wang,H.L.Chiu,T.H.Hseu and Y.H.Kuo,Chemical constituents of Antrodia camphorata submerged whole broth,Nat.Prod.Res.,2008,22,1151-1157文獻當中所述方法進行牛樟芝萃取物及其化合物的製備。簡言之,準備4.782kg的牛樟芝(Antrodia camphorata)菌絲體粉末,然後用甲醇(methanol,MeOH)或乙醇(Ethanol,EtOH)萃取得到1681.28g的甲醇萃取物(或乙醇萃取物)。接著,取甲醇萃取物(或乙醇萃取物)並使用乙酸乙酯(ethyl acetate,EtOAc)與水的液相分配處理,俾以形成一乙酸乙酯層萃取物以及一水層萃取物,之後,收集乙酸乙酯層,繼而移除水層。本發明一實施例是由1.0g的甲醇萃取物中得到282.5mg的乙酸乙酯層萃取物,並在矽膠上用10%乙酸乙酯(配於己烷)進行層析,然後再結晶,得到經純化的化合物:麥角抑菌素-7,9(11),22-三烯-3β-醇(ergosta-7,9(11),22-trien-3β-ol,以下簡稱EK100),具有下列化學式(I):

Figure 109108059-A0305-02-0009-5
First, the preparation process of the Antrodia camphorata extract and its compounds of the present invention is as follows: Refer to YYShao, CCChen, HYWang, HLChiu, THHseu and YHKuo, Chemical constituents of Antrodia camphorata submerged whole broth, Nat. Prod. Res. , 2008, 22 , 1151 The method described in the 1157 literature carries out the preparation of Antrodia cinnamomea extract and its compounds. In short, 4.782 kg of Antrodia camphorata (Antrodia camphorata) mycelium powder is prepared, and then extracted with methanol (MeOH) or ethanol (Ethanol, EtOH) to obtain 1681.28 g of methanol extract (or ethanol extract). Next, take the methanol extract (or ethanol extract) and use the liquid phase partitioning treatment of ethyl acetate (EtOAc) and water to form an ethyl acetate layer extract and an aqueous layer extract. After that, The ethyl acetate layer was collected, and then the aqueous layer was removed. An example of the present invention is to obtain 282.5 mg of ethyl acetate layer extract from 1.0 g of methanol extract, and chromatograph it on silica gel with 10% ethyl acetate (in hexane), and then recrystallize to obtain The purified compound: ergosta-7,9(11), 22-trien-3β-ol (ergosta-7,9(11), 22-trien-3β-ol, hereinafter referred to as EK100), with The following chemical formula (I):
Figure 109108059-A0305-02-0009-5

將甲醇或乙醇萃取物、乙酸乙酯層萃取物和EK100分別溶解在二甲基亞碸(DMSO)中至各別的50mg/ml儲備溶液,並分別在-20℃下保存。本發明一實施例所使用的合成組織血纖維蛋白溶酶原活化劑(recombinant tissue plasminogen activator,rt-PA)(唯一的FDA批准用於缺血性中風的藥物)購自一家製藥公司(Boehringer Ingelheim GmbH,Ingelheim am Rhein,德國)。含0.1% DMSO的生理鹽水用作參考試劑或媒液對照組。 The methanol or ethanol extract, the ethyl acetate layer extract, and EK100 were dissolved in dimethyl sulfide (DMSO) to separate stock solutions of 50 mg/ml, and stored at -20°C. The synthetic tissue plasminogen activator (rt-PA) (the only FDA approved drug for ischemic stroke) used in an embodiment of the present invention was purchased from a pharmaceutical company (Boehringer Ingelheim GmbH, Ingelheim am Rhein, Germany). Physiological saline containing 0.1% DMSO was used as a reference reagent or vehicle control group.

接著,誘發及製備急性腦缺血性中風損傷(acute cerebral ischemic stroke injury)小鼠模型,流程如下:所有動物程序和規程均按照實驗動物的護理和使用指南(The Guide for the Care and Use of Laboratory Animals)(美國國家科學研究委員會,2011年)進行,並由衛生福利部國家中醫藥研究所動物研究委員會(Animal Research Committee of the National Research Institute of Chinese Medicine)審查批准(批准文號:NRICM-IACUC-106-912-1)。使用唑拉西泮(zolazepam)(40mg/kg,i.p.)和鹽酸塞拉嗪(xylazine)(10mg/kg,i.p.)的混合物麻醉重28~30g的雄性ICR小鼠(台灣台北國家實驗研究院國家實驗動物中心)。根據中風療法學術行業圓桌會議(Stroke Therapy Academic Industry Roundtable,STAIR)的建議,誘發了小鼠急性腦缺血性中風損傷。簡而言之,使用塗有矽油(silicone)的熱鈍尼龍單絲手術縫線(heat-blunted nylon monofilament surgical suture)(直徑約100μm)進行短暫性局灶性腦缺血(transient focal cerebral ischemia),將手術縫線引入裸露的外頸動脈中,前進至內頸動脈,並楔入威利氏環阻塞了右大腦中動脈(right middle cerebral artery,MCA)的起源,從而阻斷了MCA血液的流動,這可由顱內都卜勒(transcranial Doppler)檢查確認血流中止。將細絲在麻醉下放置40分鐘。右大腦中動脈閉塞(MCA occlusion,MCAO)40分鐘後,將縫線抽出以進行再灌注。在再灌注後2小時給予所有治療(參見圖1)。為了減少治療偏倚,與本研究無關的研究者隨機分配小鼠於媒液對照組或試劑(甲醇萃取物、乙醇萃取物、乙酸乙酯層萃取物、EK100或rt-PA)治療組。進行上述手術之後,閉合手術切口,並允許小鼠在加熱燈下從麻醉中恢復,以確保恢復過程中身體溫度維持在36.0~37.0℃。此手術過程導致可重複的梗死(reproducible infarcts),其體積大小和分佈與使用類似的短暫MCAO手法研究報導的其他梗死體積相似。 Then, induce and prepare the acute cerebral ischemic stroke injury mouse model, the process is as follows: all animal procedures and procedures are in accordance with the guide for the care and use of laboratory animals (The Guide for the Care and Use of Laboratory Animals) Animals) (U.S. National Research Council, 2011) and reviewed and approved by the Animal Research Committee of the National Research Institute of Chinese Medicine of the Ministry of Health and Welfare (Approval Number: NRICM-IACUC -106-912-1). Use a mixture of zolazepam (40mg/kg, ip) and xylazine hydrochloride (10mg/kg, ip) to anesthetize male ICR mice weighing 28~30g (National Institute of Experimental Research, Taipei, Taiwan) Laboratory Animal Center). According to the recommendations of the Stroke Therapy Academic Industry Roundtable (STAIR), it induced acute cerebral ischemic stroke injury in mice. In short, a heat-blunted nylon monofilament surgical suture (about 100μm in diameter) coated with silicone is used for transient focal cerebral ischemia. , The surgical suture was introduced into the exposed external carotid artery, advanced to the internal carotid artery, and wedged into the Willie’s ring to block the origin of the right middle cerebral artery (MCA), thereby blocking the blood flow of MCA Flow, which can be confirmed by intracranial Doppler (transcranial Doppler) examination to confirm blood flow has stopped. Place the filament under anesthesia for 40 minutes. After 40 minutes of right middle cerebral artery occlusion (MCA occlusion, MCAO), the suture was withdrawn for reperfusion. All treatments were given 2 hours after reperfusion (see Figure 1). In order to reduce treatment bias, researchers unrelated to this study randomly assigned mice to vehicle control group or reagent (methanol extract, ethanol extract, ethyl acetate layer extract, EK100 or rt-PA) treatment group. After the above operation, the surgical incision was closed and the mice were allowed to recover from anesthesia under a heating lamp to ensure that the body temperature was maintained at 36.0~37.0°C during the recovery process. This surgical procedure resulted in reproducible infarcts, the size and distribution of which were similar to other infarct volumes reported using similar transient MCAO techniques.

在MCAO之前和再灌注後30分鐘從股動脈採集的血樣品立即用於動脈血氣體分析(arterial blood gas analysis)。將小鼠隨機分為以下幾組:(1)無MCAO的假手術組(Sham,n=30);(2)MCAO後2小時,每天一次,一次0.3g/kg的甲醇萃取物,口服)組別(甲醇萃取物組)(中風+甲醇萃取物,n=10);(3和4)兩個乙酸乙酯層萃取物(0.3g/kg或0.6g/kg,MCAO後2小時,每天一次,口服)治療組(乙酸乙酯層萃取物組1(0.3g/kg乙酸乙酯層萃取物)及乙酸乙酯層萃取物組2(0.6g/kg乙酸乙酯層萃取物)),n=30;(5和6)兩個EK100(60mg/kg或120mg/kg)治療組,每天一次,口服,MCAO後2小時(EK100組1(60mg/kg EK100)及EK100組2(120mg/kg EK100));(7)1個rt-PA(rt-PA劑量為10mg/kg,在MCAO之後2小時,靜脈內注射1次)MCAO治療組(中風+rt-PA,n=30)(TPA組(rt-PA));(8)1個rt-PA+EK100(rt-PA為10mg/kg,在MCAO之後2小時,一次靜脈內注射rt-PA再加上EK100以60mg/kg口服)(組合組);(9)用MCAO及媒液(含0.1% DMSO的生理鹽水)處理的組(中風+媒液,n=30)(媒液組)。實驗方案如圖1所示。 Blood samples collected from the femoral artery before MCAO and 30 minutes after reperfusion were used immediately for arterial blood gas analysis. The mice were randomly divided into the following groups: (1) Sham operation group without MCAO (Sham, n=30); (2) 2 hours after MCAO, once a day, once a day with a 0.3g/kg methanol extract, orally) Group (methanol extract group) (stroke + methanol extract, n=10); (3 and 4) two ethyl acetate layer extracts (0.3g/kg or 0.6g/kg, 2 hours after MCAO, every day One time, oral) treatment group (ethyl acetate layer extract group 1 (0.3g/kg ethyl acetate layer extract) and ethyl acetate layer extract group 2 (0.6g/kg ethyl acetate layer extract)), n=30; (5 and 6) two EK100 (60mg/kg or 120mg/kg) treatment groups, once a day, orally, 2 hours after MCAO (EK100 group 1 (60mg/kg EK100) and EK100 group 2 (120mg/kg) kg EK100)); (7) 1 rt-PA (rt-PA dose is 10mg/kg, 2 hours after MCAO, intravenous injection once) MCAO treatment group (stroke + rt-PA, n=30) ( TPA group (rt-PA)); (8) 1 rt-PA+EK100 (rt-PA is 10mg/kg, 2 hours after MCAO, an intravenous injection of rt-PA plus EK100 is taken orally at 60mg/kg ) (Combination group); (9) group treated with MCAO and vehicle (normal saline containing 0.1% DMSO) (stroke + vehicle, n=30) (vehicle group). The experimental program is shown in Figure 1.

為了確認牛樟芝的甲醇萃取物(0.3g/kg)或乙醇萃取物和乙酸乙酯層萃取物(0.3g和0.6g/kg)改善缺血性中風腦損傷的能力以及EK100的最佳保護劑量(30~120mg/kg,口服),以闡明急性缺血性中風損傷模型的機制,評估了動物存活率(中風誘發後2天內)。幾乎有80%的接受媒液(含0.1% DMSO的生理鹽水)治療的小鼠(媒液組)在中風後2天內死亡。相反地,甲醇萃取物組或乙醇萃取物組、乙酸乙酯層萃取物組1、乙酸乙酯層萃取物組2、EK100組1、EK100組2、TPA組(rt-PA)、及組合組具有更高的生存率。對於用乙酸乙酯層萃取物組2、EK100組1、EK100組2和組合組處理的小鼠,在中風後第1天(D1),這種差異尤為明顯(表1,p<0.05)。 In order to confirm the ability of methanol extract (0.3g/kg) or ethanol extract and ethyl acetate layer extract (0.3g and 0.6g/kg) of Antrodia cinnamomea to improve ischemic stroke brain damage and the best protective dose of EK100 ( 30~120mg/kg, orally), in order to clarify the mechanism of acute ischemic stroke injury model, and evaluate the animal survival rate (within 2 days after the stroke is induced). Almost 80% of the mice (vehicle group) treated with vehicle (normal saline containing 0.1% DMSO) died within 2 days after stroke. Conversely, methanol extract group or ethanol extract group, ethyl acetate layer extract group 1, ethyl acetate layer extract group 2, EK100 group 1, EK100 group 2, TPA group (rt-PA), and combination group Has a higher survival rate. For mice treated with ethyl acetate layer extract group 2, EK100 group 1, EK100 group 2, and combination group, this difference was particularly significant on day 1 (D1) after stroke (Table 1, p <0.05).

在中風誘發後24小時,還檢查了小鼠的神經功能缺損(以行蹤移動距離的減少為測定)。與假手術組的小鼠相比,給媒液組的小鼠,中風手術誘發極端嚴重的神經功能缺損,如行蹤移動的距離顯著減少(以m為單位)(表1,媒液組vs.假手術組,p<0.05)。甲醇萃取物組、乙醇萃取物組、乙酸乙酯層萃取物組1、乙酸乙酯層萃取物組2、EK100組1及EK100組2,而不是rt-PA進行處理在中風損傷後均顯著改善了行蹤移動距離的減少(表1,p<0.05)。但是,組合組比單獨TPA組(rt-PA)可顯著改善行蹤移動距離(表1,p<0.05)。 Twenty-four hours after the stroke was induced, the mice were also examined for neurological deficits (measured by the decrease in the movement distance of the track). Compared with mice in the sham operation group, in the mice in the vehicle group, stroke surgery induced extremely severe neurological deficits, such as a significant reduction in the distance of movement (in m) (Table 1, vehicle group vs. Sham operation group, p<0.05). Methanol extract group, ethanol extract group, ethyl acetate layer extract group 1, ethyl acetate layer extract group 2, EK100 group 1, and EK100 group 2, but not rt-PA treatment, all significantly improved after stroke injury This resulted in a decrease in the movement distance of the whereabouts (Table 1, p <0.05). However, the combined group can significantly improve the movement distance of the track compared with the TPA group alone (rt-PA) (Table 1, p <0.05).

Figure 109108059-A0305-02-0012-3
Figure 109108059-A0305-02-0012-3

實施例2. 牛樟芝萃取物與其化合物在透過抑制發炎和凋亡減緩小鼠急性缺血性中風後腦梗死和BBB損傷上的效用評估Example 2. Evaluation of the effectiveness of Antrodia camphorata extract and its compounds in reducing cerebral infarction and BBB damage after acute ischemic stroke in mice by inhibiting inflammation and apoptosis

以下實驗所用到的2,3,5-三苯基四唑氯化物(2,3,5-triphenyltetrazoliumchloride,TTC)染色的流程如下:再灌注後二十四小時,在深度麻醉下透過快速斷頭犧牲小鼠。快速取出整個大腦,切成1mm厚的冠狀 切片,用TTC(Sigma-Aldrich,USA)染色。對所有腦切片進行拍照以確定梗塞體積並確認水腫。 The 2,3,5-triphenyltetrazolium chloride (TTC) staining procedure used in the following experiments is as follows: Twenty-four hours after reperfusion, rapid decapitation under deep anesthesia Sacrifice mice. Quickly take out the whole brain and cut into 1mm thick crown Sections were stained with TTC (Sigma-Aldrich, USA). All brain slices were photographed to determine the infarct volume and confirm the edema.

急性缺血性中風會引起缺血性腦半球嚴重腦梗塞,嚴重損害腦組織,其梗塞體積約為62±5mm3(圖2,中風+媒液,TTC染色),強烈發炎(p65NFκB染色(紅色),其為一種發炎標記)(圖3A及4A)表現在中風皮質所有梗塞區域周圍和齒狀回(dentate gyrus)(在中風組中)並出現明顯的血腦障壁(BBB)滲漏(圖3A及圖3B,中風組,缺少閉合蛋白(occludin)染色(綠色)),以及非常顯著的腦組織凋亡(圖5A及圖5B,中風組,凋亡蛋白酶3(caspase 3)染色(紅色))。相反地,用牛樟芝的乙酸乙酯層萃取物(0.3和0.6kg/kg,口服)和EK100(60~120mg/kg,口服)治療中風損傷小鼠在降低死亡率和神經系統缺陷的同時,還可顯著降低腦梗死的嚴重程度(在TTC染色中降低)(圖2,p<0.05)、BBB滲漏(缺少閉合蛋白(occluding)染色)(圖3B,p<0.05)、減少發炎(p65NFκB染色)(圖4B,p<0.05)並減少了腦組織凋亡的細胞(凋亡蛋白酶3)(圖5B,p<0.05)。單用rt-PA的治療不足以保護腦組織免受這些缺血性腦損傷(腦梗塞、BBB損傷、發炎和腦組織細胞凋亡)的影響(與中風組相比,圖2至圖5B,p>0.05),除了減少p65NFκB染色(圖4A及圖4B,與中風組相比,p<0.05)外,然而,令人印象深刻的是,與單獨使用rt-PA或EK100(60mg/kg)相比,EK100(60mg/kg)與rt-PA的組合可以進一步增強保護活性(圖2至圖5B,p<0.05)。 Acute ischemic stroke can cause severe cerebral infarction of the ischemic cerebral hemisphere and severe damage to the brain tissue. The infarct volume is about 62±5mm 3 (Figure 2, stroke + vehicle, TTC staining), and intense inflammation (p65NFκB staining (red) ), which is an inflammatory marker) (Figures 3A and 4A), it is manifested around all infarct areas of the stroke cortex and the dentate gyrus (in the stroke group) with obvious blood-brain barrier (BBB) leakage (Figure 3A and 3B, stroke group, lack of occludin staining (green), and very significant brain apoptosis (Figures 5A and 5B, stroke group, caspase 3 staining (red) ). On the contrary, using the ethyl acetate layer extract of Antrodia cinnamomea (0.3 and 0.6kg/kg, oral) and EK100 (60~120mg/kg, oral) to treat stroke-injured mice can reduce mortality and neurological deficits, but also It can significantly reduce the severity of cerebral infarction (decrease in TTC staining) (Figure 2, p <0.05), BBB leakage (lack of occluding staining) (Figure 3B, p <0.05), and reduce inflammation (p65NFκB staining) ) (Figure 4B, p <0.05) and reduced brain apoptotic cells (apoptotic protease 3) (Figure 5B, p <0.05). Treatment with rt-PA alone is not enough to protect brain tissue from these ischemic brain injuries (cerebral infarction, BBB injury, inflammation, and brain cell apoptosis) (compared to the stroke group, Figure 2 to Figure 5B, p >0.05), in addition to reducing p65NFκB staining (Figure 4A and Figure 4B, compared with the stroke group, p <0.05), however, it is impressive that compared with the use of rt-PA or EK100 (60mg/kg) alone In contrast, the combination of EK100 (60 mg/kg) and rt-PA can further enhance the protective activity (Figure 2 to Figure 5B, p <0.05).

實施例3. 牛樟芝萃取物與其化合物在小鼠急性缺血性中風後透過抑制GSK-3及藉由活化PI3K/Akt信號傳遞活化β-鏈蛋白(β-catenin)來促進內生性神經再生上的效用評估Example 3. Antrodia camphorata extract and its compounds promote endogenous nerve regeneration by inhibiting GSK-3 and activating β-catenin by activating PI3K/Akt signaling after acute ischemic stroke in mice Effectiveness evaluation

急性缺血性中風會嚴重損害海馬齒狀回周圍的內生性神經再生(endogenous neurogenesis)。本實施例研究在缺血性中風損傷後24小時,牛樟芝的乙酸乙酯層萃取物和EK100處理是否能促進內生性神經再生,使用雙皮質素(doublecortin,DCX)作為闡明內生性神經再生的指標。與假手術組相比,缺血性中風損傷後用媒液處理的小鼠的DCX染色表現水平明顯下降(橙色,圖6A,中風+齒狀回中的媒液(Veh))(圖6A及圖6B,中風(stroke)+Veh vs.假手術組(Sham,S),p<0.05)。值得注意的是,用牛樟芝的乙酸乙酯層萃取物和EK100而不是rt-PA處理可強烈上調DCX表現,與媒液組(圖6B,p<0.05)相比,它幾乎與鏈蛋白(紅 色)染色共定位(圖6A及6B)。此外,與僅用媒液處理的組(圖6B,p<0.05)或僅用rt-PA治療的組相比,EK100(60mg/kg)與rt-PA的共同治療組(組合組)顯著上調了DCX表現以及鏈蛋白的表現(圖6B,p<0.05)。 Acute ischemic stroke can severely damage the endogenous neurogenesis around the hippocampal dentate gyrus. This example investigates whether the ethyl acetate layer extract of Antrodia cinnamomea and EK100 treatment can promote endogenous nerve regeneration 24 hours after ischemic stroke injury, using doublecortin (DCX) as an indicator to clarify endogenous nerve regeneration . Compared with the sham operation group, the expression level of DCX staining in mice treated with vehicle after ischemic stroke injury was significantly reduced (orange, Figure 6A, stroke + vehicle in the dentate gyrus (Veh)) (Figure 6A and Figure 6B, stroke + Veh vs. sham operation group (Sham, S), p <0.05). It is worth noting that treatment with ethyl acetate layer extract of Antrodia cinnamomea and EK100 instead of rt-PA can strongly upregulate the performance of DCX. Compared with the vehicle group (Figure 6B, p <0.05), it is almost the same as the chain protein (red ) Co-localization of staining (Figure 6A and 6B). In addition, compared with the vehicle-only group (Figure 6B, p <0.05) or the rt-PA-only group, the co-treatment group of EK100 (60mg/kg) and rt-PA (combination group) was significantly upregulated The performance of DCX and the performance of chain protein (Figure 6B, p <0.05).

為了確定神經再生促進信號(GSK-3抑制和β-鏈蛋白活化)是否參與牛樟芝的乙酸乙酯層萃取物和EK100誘導的神經保護作用,採用西方墨點分析來檢測PI3K/Akt相關信號傳遞途徑對牛樟芝的乙酸乙酯層萃取物和EK100的保護作用。結果表明,中風損傷顯著降低了Ser473(pAkt)殘基上Akt的磷酸化/活化的表現水準,中風同時顯著降低了SpGSK-3(GSK-3抑制)和β-鏈蛋白的表現及降低了β-鏈蛋白下游蛋白Bcl-2的表現(圖7B,媒液組與假手術組比較,p<0.05),其中Ser473是Akt的胺基酸在473號位置的絲胺酸(Serine)被磷酸化,代表Akt被磷酸化而活化(pAkt)。用牛樟芝的乙酸乙酯層萃取物(0.6g/kg)和EK100(60和120mg/kg)的處理顯著增強Bcl-2的表現水準,可能是透過活化PI3K/Akt依賴性GSK-3抑制(SpGSK-3表現增加)和β-鏈蛋白上調(圖7A至圖7B,p<0.05),而用牛樟芝的乙酸乙酯層萃取物(0.6g/kg)或EK100(120mg/kg)處理單獨使用於未中風鼠不會顯著改變這些蛋白質的表現水準(圖7B)。 In order to determine whether the nerve regeneration promotion signal (GSK-3 inhibition and β-catenin activation) is involved in the neuroprotection induced by the ethyl acetate layer extract of Antrodia cinnamomea and EK100, Western blot analysis was used to detect PI3K/Akt-related signal transmission pathways Protects the ethyl acetate extract of Antrodia cinnamomea and EK100. The results showed that stroke injury significantly reduced the expression level of Akt phosphorylation/activation on Ser473 (pAkt) residues, and stroke also significantly reduced the expression of SpGSK-3 (GSK-3 inhibition) and β-catenin and decreased β -The performance of the downstream protein Bcl-2 (Figure 7B, vehicle group compared with sham operation group, p <0.05), in which Ser473 is the amino acid of Akt. Serine at position 473 is phosphorylated , Which means Akt is phosphorylated and activated (pAkt). Treatment with ethyl acetate layer extract of Antrodia cinnamomea (0.6g/kg) and EK100 (60 and 120mg/kg) significantly enhanced the performance level of Bcl-2, possibly through activation of PI3K/Akt-dependent GSK-3 inhibition (SpGSK -3 performance increase) and β-catenin up-regulation (Figure 7A to Figure 7B, p <0.05), and the ethyl acetate layer extract of Antrodia camphorata (0.6g/kg) or EK100 (120mg/kg) was used alone The non-stroke mice did not significantly change the expression level of these proteins (Figure 7B).

實施例4. 牛樟芝萃取物與其化合物在氧氣與葡萄糖剝奪(oxygen and glucose deprivation,OGD)誘導的神經元凋亡和LPS介導的微膠細胞(microglial cell)活化的細胞模型中的神經元保護和抗發炎上的效用評估Example 4. Antrodia cinnamomea extract and its compounds in the oxygen and glucose deprivation (oxygen and glucose deprivation, OGD) induced neuronal apoptosis and LPS-mediated microglia cell (microglial cell) activation of neuron protection and Evaluation of the effectiveness of anti-inflammatory

為了確定牛樟芝的乙酸乙酯層萃取物和EK100是否能防止氧氣與葡萄糖同時剝奪(OGD)誘導的神經細胞凋亡並在細胞模型中顯示抗發炎活性,進行了OGD誘導的神經母細胞腫瘤Neuro 2A細胞(來自ATCC,CCL-131)凋亡和LPS介導的微膠細胞一氧化氮(NO)產生(即表2所示BV2/NO,其中BV2表示BV2細胞,其為一腦部微膠細胞(microglia cell)株)。如表2所示,本發明牛樟芝的乙酸乙酯層萃取物和EK100對OGD誘導的神經細胞損傷具有抗凋亡活性,IC50分別<10μg/ml和40μM。陽性對照組AR-a014418(一種GSK-3抑製劑)在該模型中顯示出強大的抗凋亡作用,IC50約為10μM。此外,本發明牛樟芝的乙酸乙酯層萃取物對LPS誘導的微膠細胞NO產生具顯著的抗炎作用,IC50分別為9±1μg/ml和18±2μM。它們幾乎與NFκB抑製劑(PDTC)一樣有效。 In order to determine whether the ethyl acetate layer extract of Antrodia camphorata and EK100 can prevent the apoptosis of nerve cells induced by simultaneous oxygen and glucose deprivation (OGD) and show anti-inflammatory activity in the cell model, the OGD-induced neuroblastic tumor Neuro 2A was performed Cells (from ATCC, CCL-131) apoptosis and LPS-mediated microglia cell nitric oxide (NO) production (ie BV2/NO shown in Table 2, where BV2 stands for BV2 cell, which is a brain microglia cell (microglia cell) strain). As shown in Table 2, the ethyl acetate layer extract of Antrodia cinnamomea and EK100 of the present invention have anti-apoptotic activity against OGD-induced neuronal damage, with IC 50 <10 μg/ml and 40 μM, respectively. The positive control group AR-a014418 (a GSK-3 inhibitor) showed a strong anti-apoptotic effect in this model, with an IC 50 of about 10 μM. In addition, the ethyl acetate layer extract of Antrodia camphorata of the present invention has a significant anti-inflammatory effect on LPS-induced NO production in microglia cells, with IC 50 of 9±1 μg/ml and 18±2 μM, respectively. They are almost as effective as NFκB inhibitors (PDTC).

有關OGD誘導的神經元凋亡之流程如下:Neuro 2A細胞在Dulbecco改良的Eagle培養基(DMEM)中於37℃生長,並補充了10%(按體積計)的胎牛血清(FBS)和在5% CO2中的青黴素/鏈黴素、95%的潮濕環境。在測試試劑的存在下,對細胞(5×105個細胞)進行氧氣與葡萄糖剝奪(OGD),持續8小時,然後再灌注16小時。除去培養基,並用HEPES緩衝鹽溶液(HBSS,含有(以mM為單位):137 NaCl、5 KCl、20 HEPES、1.4 CaCl2、3 NaHCO3、0.6 Na2HPO4、0.4 KH2PO4在pH 7.4洗滌),洗滌至除去所有含有葡萄糖的培養基。然後,透過將培養基改為無血清和無葡萄糖的DMEM(Gibco Laboratories,Grand Island,NY,USA)來啟動OGD,首先將其與5% CO2和其餘N2的混合物一起鼓泡20分鐘以除去O2。然後將培養物立即轉移到培養箱(Astec,福岡,日本)中,該培養箱具有5% CO2、1% O2和其餘N2的濕潤低氧,保持在37℃。缺氧後,透過重新補充含葡萄糖的DMEM終止培養物中的OGD,然後將其轉移回空氣中含5% CO2的正常環境的培養箱中16小時。 The process of OGD-induced neuronal apoptosis is as follows: Neuro 2A cells are grown in Dulbecco's Modified Eagle Medium (DMEM) at 37°C and supplemented with 10% (by volume) fetal bovine serum (FBS) and 5 % Penicillin/streptomycin in CO 2 and 95% humid environment. In the presence of the test reagent, the cells (5×10 5 cells) were subjected to oxygen and glucose deprivation (OGD) for 8 hours, and then perfused for 16 hours. Remove the medium and use HEPES buffered salt solution (HBSS, containing (in mM): 137 NaCl, 5 KCl, 20 HEPES, 1.4 CaCl 2 , 3 NaHCO 3 , 0.6 Na 2 HPO 4 , 0.4 KH 2 PO 4 at pH 7.4 Washing), wash until all the medium containing glucose is removed. Then, start OGD by changing the medium to serum- and glucose-free DMEM (Gibco Laboratories, Grand Island, NY, USA), first bubbling it with a mixture of 5% CO 2 and the rest of N 2 for 20 minutes to remove O 2 . The culture was then transferred to an incubator (Astec, Fukuoka, Japan) immediately, the low oxygen humidified incubator having a 5% CO2,1% O2 and the balance N 2, and kept at 37 ℃. After hypoxia, the OGD in the culture was stopped by replenishing DMEM with glucose, and then transferred back to an incubator in a normal environment with 5% CO 2 in the air for 16 hours.

為了檢查單獨的牛樟芝的乙酸乙酯層萃取物或EK100是否顯示出抗氧化能力,進行了DPPH自由基清除試驗。 In order to check whether the ethyl acetate layer extract of Antrodia cinnamomea alone or EK100 showed antioxidant capacity, a DPPH free radical scavenging test was carried out.

DPPH自由基清除能力的測定流程如下:將試劑在甲醇中稀釋至5、20和50μM的濃度。將DPPH溶液(200μl;配於乙醇中200μM的最終濃度)添加到96孔微盤中的10μl每個稀釋樣品中,並使所得溶液在黑暗中於環境溫度下反應30分鐘。用微孔盤分光光度計測定由DPPH自由基在517nm處的吸光值。自由基清除能力表示為OD517(△OD517),包括抗氧化劑trolox作為參考試劑。 The measurement process of DPPH radical scavenging ability is as follows: the reagent is diluted in methanol to concentrations of 5, 20, and 50 μM. A DPPH solution (200 μl; final concentration of 200 μM in ethanol) was added to 10 μl of each diluted sample in a 96-well microplate, and the resulting solution was allowed to react for 30 minutes at ambient temperature in the dark. The absorbance of DPPH radicals at 517 nm was measured with a microplate spectrophotometer. The free radical scavenging ability is expressed as OD 517 (△OD 517 ), including the antioxidant trolox as a reference reagent.

與trolox(一種維生素E類似物)相比,牛樟芝的乙酸乙酯層萃取物和EK100均未顯示出自由基清除活性,而trolox則顯示出DPPH自由基清除活性,IC50為25±1μM。 Compared with trolox (a vitamin E analog), neither the ethyl acetate extract of Antrodia camphorata nor EK100 showed free radical scavenging activity, while trolox showed DPPH free radical scavenging activity with IC 50 of 25±1μM.

Figure 109108059-A0305-02-0016-4
Figure 109108059-A0305-02-0016-4

使用實驗性腦缺血性中風鼠模型,本發明證明了缺血再灌注後牛樟芝萃取物及其活性成分EK100對神經保護和促進神經再生的作用,並且還確定了分子信號傳遞機制作用。結果顯示,急性缺血性中風誘發後2小時,每天用牛樟芝的乙酸乙酯層萃取物(0.6g/kg)和EK100(60-120mg/kg,口服)一次處理,顯著提高了存活率及行蹤移動活性(中風後第1天)。低劑量(60mg/kg)的EK100與rt-PA(10mg/kg,i.v.)的組合可增強rt-PA的保護活性。乙酸乙酯層萃取物和EK100引起的發炎和凋亡中腦損傷的標記減少與GSK-3抑制和β-鏈蛋白上調高度相關。具體而言,牛樟芝的乙酸乙酯層萃取物和EK100都下調NF-κB和凋亡蛋白酶3(caspase 3),並促進神經再生相關蛋白(雙皮質素DCX)和神經保護蛋白(Bcl-2)的表現水準。本發明證實透過PI3K/Akt信號傳遞抑制GSK-3/β-鏈蛋白的活化調節牛樟芝的乙酸乙酯層萃取物及其活性成分EK100在急性缺血性中風損傷後的神經保護和神經再生促進作用。 Using an experimental cerebral ischemic stroke rat model, the present invention proves the effect of Antrodia camphorata extract and its active ingredient EK100 on neuroprotection and promoting nerve regeneration after ischemia-reperfusion, and also determines the molecular signal transmission mechanism. The results showed that 2 hours after the induction of acute ischemic stroke, treatment with the ethyl acetate layer extract of Antrodia cinnamomea (0.6g/kg) and EK100 (60-120mg/kg, orally) once a day significantly improved the survival rate and whereabouts. Mobility activity (day 1 after stroke). The combination of low dose (60mg/kg) of EK100 and rt-PA (10mg/kg, i.v.) can enhance the protective activity of rt-PA. Ethyl acetate layer extract and EK100 induced inflammation and apoptosis of brain damage markers were highly correlated with GSK-3 inhibition and β-catenin up-regulation. Specifically, the ethyl acetate layer extract of Antrodia cinnamomea and EK100 down-regulate NF-κB and caspase 3 (caspase 3), and promote nerve regeneration-related protein (Dicortin DCX) and neuroprotective protein (Bcl-2) Performance level. The present invention confirms that the activation of GSK-3/β-chain protein is inhibited by PI3K/Akt signal transmission, and the ethyl acetate layer extract of Antrodia cinnamomea and its active ingredient EK100 have neuroprotective and nerve regeneration promoting effects after acute ischemic stroke injury. .

在本發明中,觀察到缺血性中風小鼠海馬齒狀回附近參與內生性神經再生的細胞(DCX陽性細胞)數量明顯減少。儘管如此,僅使用牛樟芝的乙酸乙酯層萃取物(0.3和0.6g/kg)和EK100(60和120mg/kg),但不單獨使用 rt-PA,治療可以顯著增加DCX陽性細胞的數量,DCX陽性細胞在腦缺血性中風後24小時內是神經元母細胞/神經元祖細胞(neuroblasts/neuronal progenitor cell)的製造者。此外,低劑量(60mg/kg)的EK100與rt-PA的組合可促進DCX陽性細胞的表現水準。這種促進很可能是透過PI3K/Akt的活化而發生的,而PI3K/Akt的活化又會引起GSK-3磷酸化而抑制和β-鏈蛋白活化,從而上調其下游細胞保護蛋白(例如Bcl-2)。然而,在本發明中,在沒有缺血性中風損傷的小鼠中單獨使用牛樟芝的乙酸乙酯層萃取物和EK100並不能顯著活化PI3K/Akt途徑來上調DCX陽性細胞的表現水準。本發明發現牛樟芝的乙酸乙酯層萃取物或EK100(而不是單獨的rt-PA)的保護作用同時下調了凋亡蛋白酶3和p65NF-κB的表現。此外,使用體外模型,進一步觀察到牛樟芝的乙酸乙酯層萃取物和EK100表現出較強的抗凋亡作用(IC50分別在<10μg/ml和40μM時)和抗發炎性(IC50在9和18μM)作用。 In the present invention, it is observed that the number of cells involved in endogenous nerve regeneration (DCX positive cells) near the hippocampal dentate gyrus of mice with ischemic stroke is significantly reduced. Nevertheless, using only the ethyl acetate layer extract of Antrodia cinnamomea (0.3 and 0.6g/kg) and EK100 (60 and 120mg/kg), but not using rt-PA alone, the treatment can significantly increase the number of DCX-positive cells. DCX Positive cells are the producers of neuroblasts/neuronal progenitor cells within 24 hours after cerebral ischemic stroke. In addition, the combination of low-dose (60mg/kg) EK100 and rt-PA can promote the expression level of DCX-positive cells. This promotion is likely to occur through the activation of PI3K/Akt, and the activation of PI3K/Akt will cause GSK-3 phosphorylation to inhibit and β-catenin activation, thereby upregulating its downstream cytoprotective proteins (such as Bcl- 2). However, in the present invention, using the ethyl acetate layer extract of Antrodia camphorata and EK100 alone in mice without ischemic stroke injury did not significantly activate the PI3K/Akt pathway to up-regulate the expression level of DCX-positive cells. The present invention found that the protective effect of the ethyl acetate layer extract of Antrodia camphorata or EK100 (rather than rt-PA alone) simultaneously down-regulated the expression of apoptotic protease 3 and p65NF-κB. In addition, using an in vitro model, it was further observed that the ethyl acetate layer extract of Antrodia camphorata and EK100 showed strong anti-apoptotic effects (IC 50 at <10 μg/ml and 40 μM, respectively) and anti-inflammatory (IC 50 at 9 And 18μM) effect.

綜上所述,本發明牛樟芝萃取物及其化合物可透過抑制發炎和凋亡減緩急性缺血性中風後腦梗死和血腦障壁損傷、透過抑制GSK-3及藉由活化PI3K/Akt信號傳遞活化β-鏈蛋白來促進內生性神經再生、及保護神經元,達到治療中風(特別是腦缺血性中風損傷)及增強治療中風藥物的效用之功效。 In summary, the Antrodia camphorata extract and its compounds of the present invention can slow down cerebral infarction and blood-brain barrier damage after acute ischemic stroke by inhibiting inflammation and apoptosis, and activate β by inhibiting GSK-3 and by activating PI3K/Akt signaling. -Catenin promotes endogenous nerve regeneration and protects neurons to achieve the effect of treating stroke (especially cerebral ischemic stroke injury) and enhancing the effectiveness of the treatment of stroke drugs.

以上所述僅為舉例性,而非為限制性者。任何未脫離本發明之精神與範疇,而對其進行之等效修改或變更,均應包含於後附之申請專利範圍中。 The above descriptions are merely illustrative and not restrictive. Any equivalent modifications or alterations that do not depart from the spirit and scope of the present invention should be included in the scope of the appended patent application.

Claims (6)

一種化合物用於製備一治療中風的醫藥品之用途,其中該化合物為麥角抑菌素-7,9(11),22-三烯-3β-醇(ergosta-7,9(11),22-trien-3β-ol,EK100),其中該治療中風是治療腦缺血性中風損傷,該治療腦缺血性中風損傷包含透過抑制發炎和凋亡來減緩急性缺血性中風後腦梗死及血腦障壁(blood brain barrier,BBB)損傷,及透過抑制GSK-3及藉由活化PI3K/Akt信號傳遞活化β-鏈蛋白(β-catenin)以促進內生性神經再生。 The use of a compound for the preparation of a medicine for the treatment of stroke, wherein the compound is ergosta-7,9(11),22-triene-3β-ol (ergosta-7,9(11),22 -trien-3β-ol, EK100), wherein the treatment of stroke is the treatment of cerebral ischemic stroke injury, and the treatment of cerebral ischemic stroke injury includes slowing down cerebral infarction and blood brain after acute ischemic stroke by inhibiting inflammation and apoptosis Barrier (blood brain barrier, BBB) damage, and activation of β-catenin (β-catenin) by inhibiting GSK-3 and activating PI3K/Akt signaling to promote endogenous nerve regeneration. 如申請專利範圍第1項所述的用途,其中該麥角抑菌素-7,9(11),22-三烯-3β-醇(EK100)是純化自一牛樟芝萃取物,該牛樟芝萃取物是以一萃取溶劑對一牛樟芝的菌絲體進行萃取而製得,該萃取溶劑是甲醇、乙醇、乙酸乙酯、正己烷或其組合。 The use as described in item 1 of the scope of patent application, wherein the ergostatin-7,9(11),22-triene-3β-ol (EK100) is purified from an Antrodia cinnamomea extract, and the Antrodia cinnamomea extract It is prepared by extracting the mycelium of Antrodia cinnamomea with an extraction solvent, and the extraction solvent is methanol, ethanol, ethyl acetate, n-hexane or a combination thereof. 如申請專利範圍第1項所述的用途,其中該麥角抑菌素-7,9(11),22-三烯-3β-醇(EK100)的有效濃度為至少60mg/kg。 The use as described in item 1 of the scope of the patent application, wherein the effective concentration of the ergostatin-7,9(11),22-triene-3β-ol (EK100) is at least 60 mg/kg. 一種化合物用於製備一增強治療中風藥物的效用之促效劑的用途,其中該化合物為麥角抑菌素-7,9(11),22-三烯-3β-醇(EK100),其中該治療中風藥物具有治療腦缺血性中風損傷之效用,該治療腦缺血性中風損傷包含透過抑制發炎和凋亡來減緩急性缺血性中風後腦梗死及血腦障壁(blood brain barrier,BBB)損傷,及透過抑制GSK-3及藉由活化PI3K/Akt信號傳遞活化β-鏈蛋白(β-catenin)以促進內生性神經再生。 The use of a compound for preparing an agonist that enhances the effectiveness of a drug for treating stroke, wherein the compound is ergostatin-7,9(11),22-triene-3β-ol (EK100), wherein the The treatment of stroke drugs has the effect of treating cerebral ischemic stroke injury. The treatment of cerebral ischemic stroke injury includes slowing down cerebral infarction and blood brain barrier (BBB) damage after acute ischemic stroke by inhibiting inflammation and apoptosis , And by inhibiting GSK-3 and activating β-catenin by activating PI3K/Akt signaling to promote endogenous nerve regeneration. 如申請專利範圍第4項所述的用途,其中該治療中風藥物是合成組織血纖維蛋白溶酶原活化劑(recombinant tissue plasminogen activator,rt-PA)。 The use as described in item 4 of the scope of patent application, wherein the drug for treating stroke is synthetic tissue plasminogen activator (rt-PA). 如申請專利範圍第4項所述的用途,其中該麥角抑菌素-7,9(11),22-三烯-3β-醇(EK100)的有效濃度為至少60mg/kg。 The use according to item 4 of the scope of patent application, wherein the effective concentration of the ergostatin-7,9(11),22-triene-3β-ol (EK100) is at least 60mg/kg.
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